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Miscellaneous: Claims Adjustments
Claims
Claims Adjustments
Claims
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CHARGES
COB
DATE
DIAGNOSIS
MEDICARE
PLACE
PROCEDURE
PROVIDER
SUBSCRIBER
V
W
R
E
D
I
V
O
R
P
U
U
J
Q
O
M
V
I
G
M
R
V
K
G
D
A
V
O
H
V
E
O
O
M
U
L
T
X
R
I
B
D
C
D
H
E
Q
F
T
E
I
A
I
E
A
P
O
S
E
G
R
A
H
C
D
Z
I
L
B
O
C
Z
J
W
A
U
H
P
R
A
S
C
C
A
T
R
R
U
A
A
B
C
B
X
E
Z
E
E
O
N
U
Z
Z
E
X
H
U
A
H
E
S
I
D
I
A
G
N
O
S
I
S
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